I had Juvederm injected yesterday by my temples and have huge lump. (photo)

Question

I sink in by my temples and had juvederm injected yesterday. I have a half dollar size lump that looks like an ugly growth. Drs office said give it time. Is this normal?

Michael I. Echavez, MD · Answer

There can be swelling for several days in any area treated with Juvederm, and since the temple has such thin skin, it is not uncommon to get some swelling there.  You could try using some ice packs on the area for a day or two but the swelling should go down with more time.  I would wait at least a week to see how it looks and contact the physician who treated you if you feel it has not resolved.

Martin Jugenburg, MD · Answer

Swelling and bruising is a normal side effect after injecting filler. Sleep with your head slightly elevated to decrease swelling and use cold compresses 10 mins on and 10 mins off. Schedule a follow up with the injector if you are still concerned after 2 weeks. However, if this does not resolve or new symptoms appear seek attention from your Dr.

Samir Undavia, MD · Answer

I think it's reasonable to massage the area and give it time. There is certainly swelling as the filler absorbs water. This should subside in a few days. If it's still large and bothersome talk to your doctor about injecting a filler dissolving agent minimally to get some swelling down.

Brian M. Harmych, MD, FACS · Answer

The swelling is likely related from the minor trauma caused by injection of Juvederm. If it doesn't resolve in 10-14 days you should follow up with your surgeon. If the swelling gets worse or is associated with increasing pain you should see your doctor immediately as these may be signs of a more serious condition.

Ran Y. Rubinstein, MD · Answer

It is possible that you have bruising and or swelling and I would give it up to 14 days to resolve.  If it doesn't, its possible that the Juvederm was injected too superficially and should be removed with Wydase.The best technique for temple injections, and also the safest, is to inject deep to the muscle.  There is less risk of bruising and swelling.  More importantly, if fillers are injected superficial to the temporalis muscle, it can bulge out with each chewing motion as the muscle pushes the filler outward.  This is most important when using Juvederm Voluma in the temples.Ran Y. Rubinstein, MD
200 Stony Brook Court, Newburgh, New York 
Board Certified Facial Plastic Surgeon
Clinical Professor New York Presbyterian Hospital
National Education Faculty (physician trainer) for: 
  Allergan (Juvederm, Voluma), Valient (Scultpra,
Restylane), Cynosure (Cellulaze, Precision Laser Lift)
& Solta (Fraxel, Thermage)Zeltiq( CoolSculpting)

Monika Soni, MD · Answer

Thank you for your question and photo. It is too early to determine your final result as it takes up to 2 weeks for any swelling, lumps and bruising to resolve. You can ice your lips to help resolve swelling and take Arnica to help resolve bruising faster. If you are unhappy with your final results you can have the filler dissolved with an enzyme known as hyaluronidase. Please follow up with injector in 2 weeks for an evaluation. Best of Luck!

Joseph A. Eviatar, MD, FACS · Answer

Juvederm attracts water, therefore, it's not unusual to have
some swelling and lumpiness in the area of injections, particularly, in the
temple area.  It may take 2-3 weeks for the swelling to go down
completely.  At this point your doctor should evaluate the result. If it is not improving, call your doctor.My experience is that Scuptra injections work well to treat
hollowness of temples, as does Radiesse.

Sheryl D. Clark, MD, FAAD · Answer

Was this Juvederm Ultra Plus or Juvederm Voluma?  In either case, the swelling should improve with time.We all can avoid these temporary side effects by injecting smaller amounts and adding to it a month or more later.  I don't like to obligate patients to downtime when it is not necessary.There is debate about whether fillers should be injected subcutaneously over the muscles of the temples, which has the advantage of getting more correction per unit volume injected, or injecting more deeply under the temporalis, which has the advantages of avoiding major vessels and nerves and getting a smoother correction. Neither is incorrect and there are many physicians in each camp.  Personally, however, I prefer the latter.

George T. Boris, MD, FRCS · Answer

It is normal to have swelling after being injected and it may take about 1-2 weeks for swelling to completely dissolve. However, if you are still concern and/or swelling has not resolve completely I would suggest going to your provider for further evaluation.

Darryl J. Blinski, MD · Answer

Reviewing the posted photo I think might be swelling, to much filler, poorly place filler or a combination. If after 3 weeks still an issue than use of hyaluronidase injections to dissolve part of the filler. Was it  just Juvederm or was it Juvederm's Voluma...

I had Juvederm injected yesterday by my temples and have huge lump. (photo)

Answers (13)

More Juvederm Questions

Will the lumps in my lips caused by Juvederm go away completely with time?

Lopsided mouth/smile - My mouth is lopsided and only smiles on one side after Juvadem injections.

Is it normal to have a blue/dark discoloration After Injection of Juvederm in cheeks

Will doing facial excercises cause the Juvederm Ultra filler in my lips to be absorbed more quickly?

Follow up to my previous question: Very bad bruising with Juvederm - Healing Process. (photo)

5 days post op Juvederm in my lips. Should I be concerned about bruising getting worse? (photos)

WE SEND PRETTY
EMAILS